Individual
LAURA BORDJADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 BETHEL RD, COLUMBUS, OH 43220-2005
(614) 459-3003
(614) 459-3004
Mailing address
1565 BETHEL RD, COLUMBUS, OH 43220-2005
(614) 459-3003
(614) 459-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1902313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C.1902313
NO INSURER AGREEMENTS
OH
Enumeration date
07/19/2021
Last updated
07/19/2021
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